inforMED
MalfunctionEGJ

HYBRESIS

Received Jan 4, 2011 · Event occurred Nov 22, 2010

Report 1721293-2010-00019 · MDR key 1952441

Device

Generic name

Hybresis

Manufacturer

Empi

Model number

199589-001

Lot number

82918

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

52 YR

  • Skin Irritation

Narrative

Additional Manufacturer Narrative

THE DEVICE WILL NOT BE RETURNED FOR EVAL. A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. THIS REPORT IS BEING SUBMITTED BECAUSE EMPI HAS RECEIVED A SIMILAR COMPLAINT THAT SUGGESTS THAT THIS DEVICE MAY HAVE MALFUNCTIONED IN SUCH A WAY THAT IT WOULD BE LIKELY TO CAUSE OR CONTRIBUTE TO A SERIOUS INJURY IF THE MALFUNCTION WERE TO RECUR.

Description of Event or Problem

IT WAS REPORTED THAT PT SUFFERED A SKIN REACTION UNDER THE BATTERY AREA OF THE HYBRESIS PATCH. THE PT WAS BEING TREATED FOR BICIPITAL STRAIN WITH DEXAMETHASONE 1.5CC WITH A CONCENTRATION OF 4MG/ML. PT DID NOT SEEK MEDICAL ATTENTION FOR THE SKIN REACTION.